Individual provider Active NPI

Kevin David Epple, PAC

  • Medical Physician Assistant
  • Port Charlotte, FL
National Provider Identifier
1699759118
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA06218 Issued in TX
Practice address
15370 Addax Ave
Port Charlotte, FL 33981-5106
Phone
(214) 883-8985
NPI assigned
Nov 30, 2005
Last updated
Sep 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA06218 TX Primary

Addresses

Primary practice location

15370 Addax Ave
Port Charlotte, FL 33981-5106

Mailing address

670 N Macarthur Blvd Ste 100
Coppell, TX 75019-2733
Phone (972) 745-4446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
001800IAMDSpeech-Language Pathologist
PA06218TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Epple Health Solutions LLC Medical PastSince Dec 14, 2025 Accepting new patients
Integrative Medical of DFW LLC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FBHAED/Endpoint/FBHAED
  • Direct secure messaging: kevin.epple@imod1.eclinicaldirectplus.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1699759118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 N MACARTHUR BLVD STE 100",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750192733",
            "telephone_number": "972-745-4446",
            "fax_number": "972-745-2597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15370 ADDAX AVE",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339815106",
            "telephone_number": "214-883-8985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EPPLE",
        "first_name": "KEVIN",
        "middle_name": "DAVID",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA06218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

Verify at the official NPI Registry.